Face mask ventilation in edentulous patients: a comparison of mandibular groove and lower lip placement.
Identifieur interne : 001947 ( PubMed/Curation ); précédent : 001946; suivant : 001948Face mask ventilation in edentulous patients: a comparison of mandibular groove and lower lip placement.
Auteurs : Stéphane X. Racine [France] ; Audrey Solis ; Nora Ait Hamou ; Philippe Letoumelin ; David L. Hepner ; Sadek Beloucif ; Christophe BaillardSource :
- Anesthesiology [ 1528-1175 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
- physiologie : Mécanique respiratoire.
- instrumentation : Adulte d'âge moyen, Bouche édentée, Femelle, Humains, Lèvre, Mandibule, Masques laryngés, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Ventilation artificielle, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Respiration, Artificial.
- methods : Respiration, Artificial.
- physiology : Respiratory Mechanics.
- Aged, Aged, 80 and over, Female, Humans, Laryngeal Masks, Lip, Male, Mandible, Middle Aged, Mouth, Edentulous, Prospective Studies.
Abstract
In edentulous patients, it may be difficult to perform face mask ventilation because of inadequate seal with air leaks. Our aim was to ascertain whether the "lower lip" face mask placement, as a new face mask ventilation method, is more effective at reducing air leaks than the standard face mask placement.
DOI: 10.1097/ALN.0b013e3181d5dfea
PubMed: 20395823
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Racine</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, School of Medicine, Avicenne Hospital, Paris 13 University-Assistance Publique-Hôpitaux de Paris, Bobigny, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Critical Care Medicine, School of Medicine, Avicenne Hospital, Paris 13 University-Assistance Publique-Hôpitaux de Paris, Bobigny</wicri:regionArea></affiliation></author><author><name sortKey="Solis, Audrey" sort="Solis, Audrey" uniqKey="Solis A" first="Audrey" last="Solis">Audrey Solis</name></author><author><name sortKey="Hamou, Nora Ait" sort="Hamou, Nora Ait" uniqKey="Hamou N" first="Nora Ait" last="Hamou">Nora Ait Hamou</name></author><author><name sortKey="Letoumelin, Philippe" sort="Letoumelin, Philippe" uniqKey="Letoumelin P" first="Philippe" last="Letoumelin">Philippe Letoumelin</name></author><author><name sortKey="Hepner, David L" sort="Hepner, David L" uniqKey="Hepner D" first="David L" last="Hepner">David L. Hepner</name></author><author><name sortKey="Beloucif, Sadek" sort="Beloucif, Sadek" uniqKey="Beloucif S" first="Sadek" last="Beloucif">Sadek Beloucif</name></author><author><name sortKey="Baillard, Christophe" sort="Baillard, Christophe" uniqKey="Baillard C" first="Christophe" last="Baillard">Christophe Baillard</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20395823</idno><idno type="pmid">20395823</idno><idno type="doi">10.1097/ALN.0b013e3181d5dfea</idno><idno type="wicri:Area/PubMed/Corpus">001947</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001947</idno><idno type="wicri:Area/PubMed/Curation">001947</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001947</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Face mask ventilation in edentulous patients: a comparison of mandibular groove and lower lip placement.</title><author><name sortKey="Racine, Stephane X" sort="Racine, Stephane X" uniqKey="Racine S" first="Stéphane X" last="Racine">Stéphane X. Racine</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, School of Medicine, Avicenne Hospital, Paris 13 University-Assistance Publique-Hôpitaux de Paris, Bobigny, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Critical Care Medicine, School of Medicine, Avicenne Hospital, Paris 13 University-Assistance Publique-Hôpitaux de Paris, Bobigny</wicri:regionArea></affiliation></author><author><name sortKey="Solis, Audrey" sort="Solis, Audrey" uniqKey="Solis A" first="Audrey" last="Solis">Audrey Solis</name></author><author><name sortKey="Hamou, Nora Ait" sort="Hamou, Nora Ait" uniqKey="Hamou N" first="Nora Ait" last="Hamou">Nora Ait Hamou</name></author><author><name sortKey="Letoumelin, Philippe" sort="Letoumelin, Philippe" uniqKey="Letoumelin P" first="Philippe" last="Letoumelin">Philippe Letoumelin</name></author><author><name sortKey="Hepner, David L" sort="Hepner, David L" uniqKey="Hepner D" first="David L" last="Hepner">David L. Hepner</name></author><author><name sortKey="Beloucif, Sadek" sort="Beloucif, Sadek" uniqKey="Beloucif S" first="Sadek" last="Beloucif">Sadek Beloucif</name></author><author><name sortKey="Baillard, Christophe" sort="Baillard, Christophe" uniqKey="Baillard C" first="Christophe" last="Baillard">Christophe Baillard</name></author></analytic><series><title level="j">Anesthesiology</title><idno type="eISSN">1528-1175</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Laryngeal Masks</term><term>Lip</term><term>Male</term><term>Mandible</term><term>Middle Aged</term><term>Mouth, Edentulous</term><term>Prospective Studies</term><term>Respiration, Artificial (instrumentation)</term><term>Respiration, Artificial (methods)</term><term>Respiratory Mechanics (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bouche édentée</term><term>Femelle</term><term>Humains</term><term>Lèvre</term><term>Mandibule</term><term>Masques laryngés</term><term>Mâle</term><term>Mécanique respiratoire (physiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Ventilation artificielle ()</term><term>Ventilation artificielle (instrumentation)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mécanique respiratoire</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Respiratory Mechanics</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Laryngeal Masks</term><term>Lip</term><term>Male</term><term>Mandible</term><term>Middle Aged</term><term>Mouth, Edentulous</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bouche édentée</term><term>Femelle</term><term>Humains</term><term>Lèvre</term><term>Mandibule</term><term>Masques laryngés</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Ventilation artificielle</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In edentulous patients, it may be difficult to perform face mask ventilation because of inadequate seal with air leaks. Our aim was to ascertain whether the "lower lip" face mask placement, as a new face mask ventilation method, is more effective at reducing air leaks than the standard face mask placement.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20395823</PMID><DateCompleted><Year>2010</Year><Month>05</Month><Day>14</Day></DateCompleted><DateRevised><Year>2011</Year><Month>02</Month><Day>22</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1528-1175</ISSN><JournalIssue CitedMedium="Internet"><Volume>112</Volume><Issue>5</Issue><PubDate><Year>2010</Year><Month>May</Month></PubDate></JournalIssue><Title>Anesthesiology</Title><ISOAbbreviation>Anesthesiology</ISOAbbreviation></Journal><ArticleTitle>Face mask ventilation in edentulous patients: a comparison of mandibular groove and lower lip placement.</ArticleTitle><Pagination><MedlinePgn>1190-3</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/ALN.0b013e3181d5dfea</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In edentulous patients, it may be difficult to perform face mask ventilation because of inadequate seal with air leaks. Our aim was to ascertain whether the "lower lip" face mask placement, as a new face mask ventilation method, is more effective at reducing air leaks than the standard face mask placement.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Forty-nine edentulous patients with inadequate seal and air leak during two-hand positive-pressure ventilation using the ventilator circle system were prospectively evaluated. In the presence of air leaks, defined as a difference of at least 33% between inspired and expired tidal volumes, the mask was placed in a lower lip position by repositioning the caudal end of the mask above the lower lip while maintaining the head in extension. The results are expressed as mean +/- SD or median (25th-75th percentiles).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Patient characteristics included age (71 +/- 11 yr) and body mass index (24 +/- 4 kg/m2). By using the standard method, the median inspired and expired tidal volumes were 450 ml (400-500 ml) and 0 ml (0-50 ml), respectively, and the median air leak was 400 ml (365-485 ml). After placing the mask in the lower lip position, the median expired tidal volume increased to 400 ml (380-490), and the median air leak decreased to 10 ml (0-20 ml) (P < 0.001 vs. standard method). The lower lip face mask placement with two hands reduced the air leak by 95% (80-100%).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In edentulous patients with inadequate face mask ventilation, the lower lip face mask placement with two hands markedly reduced the air leak and improved ventilation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Racine</LastName><ForeName>Stéphane X</ForeName><Initials>SX</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine, School of Medicine, Avicenne Hospital, Paris 13 University-Assistance Publique-Hôpitaux de Paris, Bobigny, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Solis</LastName><ForeName>Audrey</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Hamou</LastName><ForeName>Nora Ait</ForeName><Initials>NA</Initials></Author><Author ValidYN="Y"><LastName>Letoumelin</LastName><ForeName>Philippe</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Hepner</LastName><ForeName>David L</ForeName><Initials>DL</Initials></Author><Author ValidYN="Y"><LastName>Beloucif</LastName><ForeName>Sadek</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Baillard</LastName><ForeName>Christophe</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Anesthesiology</MedlineTA><NlmUniqueID>1300217</NlmUniqueID><ISSNLinking>0003-3022</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Anesthesiology. 2011 Feb;114(2):462-3</RefSource><PMID Version="1">21266870</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Anesthesiology. 2011 Feb;114(2):463; author reply 463-4</RefSource><PMID Version="1">21266873</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017214" MajorTopicYN="Y">Laryngeal Masks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008046" MajorTopicYN="Y">Lip</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="Y">Mandible</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009066" MajorTopicYN="Y">Mouth, Edentulous</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015656" MajorTopicYN="N">Respiratory Mechanics</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20395823</ArticleId><ArticleId IdType="doi">10.1097/ALN.0b013e3181d5dfea</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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